肺动脉闭锁合并限制性室间隔缺损的肺动脉瓣成形术
Pulmonary valvuloplasty for pulmonary atresia-restrictive ventricular septal defect.
作者信息
Reshmi Liza Jose, Gadhinglajkar Shrinivas, Mathew Thomas, Venkateshwaran Subramanian, Sreedhar Rupa, Dharan Baiju
机构信息
Department of Anesthesia, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, India.
Department of Anesthesia, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, India
出版信息
Asian Cardiovasc Thorac Ann. 2016 Feb;24(2):190-4. doi: 10.1177/0218492314553995. Epub 2014 Oct 6.
Pulmonary atresia with restrictive ventricular septal defect is a rare congenital cardiac anomaly. A Blalock-Taussig shunt and surgical perforation of the atretic pulmonary valve is often performed as the initial palliation. We present our experience of utilizing both transesophageal and epicardial echocardiography during surgical pulmonary valvuloplasty in a 22-day-old neonate with pulmonary atresia with restrictive ventricular septal defect. The atretic pulmonary valve was perforated using a sheath introduced through the pulmonary artery.
肺动脉闭锁合并限制性室间隔缺损是一种罕见的先天性心脏畸形。初始姑息治疗通常采用Blalock-Taussig分流术及对闭锁的肺动脉瓣进行手术穿孔。我们介绍了在一名22日龄患有肺动脉闭锁合并限制性室间隔缺损的新生儿进行外科肺动脉瓣成形术期间，同时使用经食管超声心动图和心外膜超声心动图的经验。使用通过肺动脉插入的鞘管对闭锁的肺动脉瓣进行穿孔。
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